Digital strapping system and method

ABSTRACT

A digital strapping system comprising an alternatively configurable hallux strap system for positioning and exercising a hallux of a foot, and/or an alternatively configurable osteotomy strap system for positioning and exercising a second and/or third digit of a foot.

FIELD OF THE INVENTION

This invention relates generally to a digital or toe strapping system and/or method and, in particular, to a digital or toe strapping system and/or method comprised of a hallux control strap system and/or an osteotomy strap system.

BACKGROUND OF THE INVENTION

Currently, correct digit or toe positioning, following surgery, is given little attention and although corrective toe surgery realigns skeletal structure, little is done to address soft tissue correction. For example, distorted joints that arise from a number of mechanical imbalances and genetic issues are corrected using various surgical interventions; however, due to the malaligned skeletal structure, the surrounding connective soft tissue, i.e., muscle, tendons, ligaments, and joint capsule, heal in unnatural positions. Accordingly, the soft tissue is in imbalance in either flaccid or contractured positions even though the skeletal structure has been surgically corrected. Hence, if left alone, the surgical procedure can be compromised allowing scar tissue formation to occur in a non-anatomical position, which can lead to complications, longer rehabilitation time or another surgical procedure. Some of these complications are floating toe which occurs after a Weil osteotomy with complication reports as high as thirty percent or complications following bunionectomies such as hallux rigidus or re-occurrence of hallux valgus.

One modality for digit range of motion stretching is manually, by the patient or a physical therapist. This method is cumbersome and not particularly effective since it requires patient discipline. Non-compliance by the patient is high, which contribute to a high post-operative complication rate. Moreover, there is no practical way to properly exercise the digits following surgery.

Thus, there is a need for a system that overcomes one or more of the significant shortcomings delineated hereinabove.

BRIEF SUMMARY OF ONLY SEVERAL ASPECTS OF THE INVENTION

Accordingly, and in one aspect, one embodiment of the invention is directed to a digital strapping system comprising a hallux strap system and/or a osteotomy strap system, used alone, or in simultaneous or sequential combination with one or more other like or different digital strapping system(s).

In one aspect the hallux strap system is a hallux control strap system, comprising a hallux pocket portion at least a part of which is configured to at least partially receive or abut against a hallux of a foot; a first strap member extending from the hallux pocket portion and terminating to a first free end; a second strap member extending from the hallux pocket portion and terminating to a second free end; the first and second strap members configured to cross after extending from the hallux pocket portion and before terminating to the first and second free ends for defining a substantially parallel or cruciate strap configuration extending from the hallux pocket portion and terminating to the first and second free ends, wherein the first and second strap members are alternately configurable to extend at a variety of angles with respect to one another, but are attached to the hallux pocket portion so as to extend at about a 30 degree to about a 180 degree angle with respect to each other when both are in an unwrapped and unfolded, single coplanar state; and means for removeably anchoring the first and second free ends to a covered or naked portion of the foot.

In another aspect, the osteotomy strap system comprises a mid-foot circumscribing strap member, sleeve or sock configured to encircle at least a mid-foot location of a foot of a patient; an osteotomy strap comprising:

a toe encircling strap member configured to closely and entirely encircle substantially all of a length of at least one toe;

an elongated base member substantially perpendicular with and attached to the toe encircling strap member; and

means for attaching said elongated base member to varying positions along a plantar surface of said mid-foot circumscribing strap member, sleeve, or sock to splint at least the one surgical toe of the patient in a splinted, plantarflexed position.

In one aspect, and in one configuration, yet another aspect of one embodiment of the invention is directed to any device, system, apparatus or method comprising any one or more of the above-recited features and/or any one or more of the specific features recited herein below, used singly or in any combination, whether including past or future known feature(s) or not.

BRIEF DESCRIPTION OF THE DRAWINGS

In the accompanying drawings, which form a part of the specification and are to be read in conjunction therewith, and in which like reference numerals are used to indicate like parts in the various views:

FIG. 1 is a top, side, and front perspective view of an embodiment of a hallux control strap system applied to a foot of a patient, which is alternately configurable along any combination of, e.g., bi-directional arrows W and X;

FIG. 2 is a bottom, side, and front perspective view of an embodiment of the hallux control strap system of FIG. 1 applied to the foot of the patient;

FIG. 3 is a top perspective view of an embodiment of an unwrapped calibrated mid-foot compression strap, of the hallux control strap system illustrated in FIG. 1;

FIG. 4 is a bottom perspective view of the unwrapped calibrated mid-foot compression strap in FIG. 3 of the hallux control strap system.

FIG. 5 is a top perspective view of the unwrapped calibrated mid-foot compression strap in FIG. 3 of a hallux control strap system initially positioned on a mid-foot of the patient;

FIG. 6 is a top perspective view of the calibrated mid-foot compression strap in FIG. 3 of a hallux control strap system in a wrapped, circumscribing configuration about a mid-foot of the patient;

FIG. 7A is a posterior perspective view of an embodiment of a hallux control strap of the hallux control strap system illustrated in FIG. 1;

FIG. 7B is an anterior perspective view of the hallux control strap in FIG. 7A of a hallux control strap system;

FIG. 8A is a posterior perspective view of an embodiment of a hallux control strap of a hallux control strap system without a slit, slot, hole or other aperture.

FIG. 8B is an anterior perspective view of the hallux control strap in FIG. 8A;

FIG. 9 is a posterior side perspective view of an embodiment of the hallux control strap of FIG. 7A in a position for receiving at least a portion of a hallux of a foot of a patient and illustrating a wrapping direction of an embodiment of a second strap member of the hallux control strap for coupling the second strap member to the calibrated mid-foot compression strap of FIG. 5;

FIG. 10 is a side perspective view of the hallux control strap of FIG. 9 receiving at least a portion of the hallux of the foot of the patient and illustrating the second strap member operatively coupled to the calibrated mid-foot compression strap and further illustrating a wrapping, threading, and coupling direction of an embodiment of a first strap member of the hallux control strap for wrapping the first strap member around the hallux, threading the first strap member through a slit in the second strap member, and coupling the first strap member to the calibrated mid-foot compression strap for forming a cruciate strap configuration that forms a hallux valgus control and/or varus configuration;

FIG. 11 is a side perspective view of an embodiment of the hallux control strap system of FIG. 9 receiving at least a portion of the hallux of the foot of the patient and illustrating the first and second strap members operatively coupled to the calibrated mid-foot compression strap, and also illustrating the second strap member threaded through the first strap member forming a crossing or intersection of the cruciate strap configuration of the first and second strap members, and further illustrating a wrapping direction of one embodiment of an elastic band member of the hallux control strap for adjustably coupling the elastic band member to the calibrated mid-foot compression strap;

FIG. 12 is a side perspective view of an embodiment of the hallux control strap system of FIG. 9 applied to the foot of the patient and illustrating the elastic band member of the hallux control strap overlying the crossing of the cruciate strap configuration of the first and second strap members and further illustrating the coupling of the elastic band member to the calibrated mid-foot compression strap for applying an additional abduction force or pressure to the hallux when the hallux control strap system of FIG. 9 is in one embodiment of a hallux valgus control and/or varus configuration;

FIG. 13 is a top perspective view of an embodiment of the hallux control strap system of FIG. 9 applied to the foot of the patient in one embodiment of a hallux valgus control and/or varus configuration;

FIG. 14 is a side perspective view of an embodiment of a hallux control strap system applied to a foot of a patient in a hallux exercise configuration with the hallux in a dorsiflexed position;

FIG. 15 is a side perspective view of an embodiment of a hallux control strap system applied to a foot of a patient in a hallux exercise configuration and illustrating the hallux flexed from the dorsiflexed position illustrated in FIG. 14 toward a plantar plane of the foot;

FIG. 16 is a side perspective view of an embodiment of a hallux control strap system applied to a foot of a patient in a hallux plantar plane splinting configuration.

FIG. 17 is an anterior perspective view of an embodiment of a T-shaped osteotomy splinting strap of an osteotomy strap system;

FIG. 18 is a posterior perspective view of the T-shaped osteotomy splinting strap of FIG. 17 of an osteotomy strap system wherein phantom lines indicate one embodiment of a toe-attachment configuration;

FIG. 19 is a top perspective view of an embodiment of an osteotomy strap system comprising the calibrated mid-foot compression strap of FIG. 5 without calibration indicia, and the T-shaped osteotomy splinting strap of FIG. 18 applied to the foot of the patient in one embodiment of an osteotomy plantar plane splinting configuration;

FIG. 20 is a bottom perspective view of an embodiment of the osteotomy strap system of FIG. 19;

FIG. 21 is an anterior perspective view of an embodiment of an osteotomy exercise strap of one embodiment of an osteotomy strap system;

FIG. 22 is a posterior perspective view of the osteotomy exercise strap of FIG. 21 wherein phantom lines indicate one embodiment of a toe-attachment configuration;

FIG. 23 is a top and side perspective view of an embodiment of an osteotomy strap system comprised of the osteotomy exercise strap of FIG. 21 operatively coupled to a second digit or toe of the foot of the patient and to the calibrated mid-foot compression strap of FIG. 5 in one embodiment of an osteotomy exercise configuration;

FIG. 24 is a top and side perspective view of an embodiment of an osteotomy strap system comprised of the osteotomy exercise strap of FIG. 21 operatively coupled to the second digit or toe of a foot of a patient and to the calibrated mid-foot compression strap of FIG. 5 in one embodiment of an osteotomy exercise configuration with the second digit or toe flexed from the dorsiflexed position illustrated in FIG. 23 toward a plantar plane of the foot of the patient;

FIG. 25 is a top and side perspective view of an embodiment of an osteotomy strap system comprised of an osteotomy exercise strap having a plurality of elastic exercise bodies;

FIG. 26 is a medial side perspective view of an embodiment of an osteotomy strap system comprising one embodiment of a compression sock and the T-shaped osteotomy splinting strap of FIG. 17 applied to a foot of a patient in one embodiment of an osteotomy plantar plane splinting configuration;

FIG. 27 is a bottom view of the osteotomy strap system of FIG. 26;

FIG. 28A is a posterior perspective view of an embodiment of a hallux control strap of a hallux control strap system;

FIG. 28B is an anterior perspective view of the hallux control strap of FIG. 28A of a hallux control strap system;

FIG. 29 is a partial medial side view of an embodiment of a hallux control strap system comprising the hallux control strap of FIG. 28A applied to a foot of a patient in another embodiment of a hallux plantar plane splinting configuration;

FIG. 30 is partial bottom perspective view of an embodiment of a hallux control strap system comprising the hallux control strap of FIG. 28A applied to a foot of a patient in yet another embodiment of a splinting configuration;

FIG. 31 is a partial medial side view of an embodiment of a hallux control strap system comprising the hallux control strap of FIG. 28A as being applied to a foot of a patient in still another embodiment of a splinting configuration;

FIG. 32 is a medial side top perspective view of an embodiment of a hallux control strap system comprising the hallux control strap of FIG. 28A applied to a foot of a patient in yet another embodiment of a splinting configuration;

FIG. 33A is a partial bottom perspective view of an embodiment of a hallux control strap system comprising the hallux control strap of FIG. 28A applied to a foot of a patient in still another embodiment of a splinting configuration;

FIG. 33B is a partial side view of the embodiment of the hallux control strap system of FIG. 33A;

FIG. 33C is a medial side rear perspective view of the embodiment of a hallux control strap system of FIG. 33A;

FIG. 34A is a medial side perspective view of an embodiment of a hallux control strap system comprising the hallux control strap of FIG. 28A applied to a foot of a patient in yet another embodiment of a splinting configuration;

FIG. 34B is a partial bottom view of the embodiment of the hallux control strap system of FIG. 34A;

FIG. 35 is a partial medial side perspective view of an embodiment of a hallux control strap system comprising the hallux control strap of FIG. 28A applied to a foot of a patient in still another embodiment of a splinting configuration.

DETAILED DESCRIPTION OF THE INVENTION

In one aspect of the invention, one embodiment is directed any one or more of: (1) a hallux control strap system, (2) a method of providing hallux control, (3) an osteotomy strap system, and (4) a method of providing osteotomy therapy. Any single or plurality of embodiments of any and/or some and/or all of these may be provided together or alone, simultaneously and/or in any sequence with each other—and in any combination thereof.

FIGS. 1 and 2 illustrate an embodiment of a digital or toe strapping system comprised of hallux control strap system 20. In one embodiment, hallux control strap system 20 comprises only hallux control strap 52. In another embodiment system 20 also comprises calibrated mid-foot compression strap 22. In one embodiment compression strap 22 is replaced by another covering or other foot securing device such as a sock, sleeve, compression sock, compression sleeve, or elongated strap member that fits around an instep, ankle, or upper ankle. In one embodiment these comprise breathable fabric such as disclosed in U.S. Pat. No. 5,735,807, which is herein incorporated by reference in its entirety.

In one embodiment, one or more of the various attachment and stretching or traction strap member(s) and elastic band(s) are variably and independently positionable along any covered or uncovered portion of a foot, thereby making, e.g., strap 52, variably configurable, such as in accordance with any combination of positions along the extensions of bi-directional arrows W and X. Arrows W generally denote movable positioning substantially along the metatarsal axes, which generally tends to tighten the strap member(s) or band(s). Arrows X generally denote movable positioning transverse to the metatarsal axes, which tightens and transversely redirects the digit. (The above paragraph holds true also for direction arrows Y and Z in FIGS. 20 and 23, described below.).

Referring to FIGS. 1 through 4, and in one embodiment, calibrated mid-foot compression strap 22 (and/or, e.g., any circumscribing member, sock, or sleeve) is comprised of elongated elasticized body 24 comprised of inner surface 26, outer surface 28, opposing first and second ends 30 and 32, and opposing first and second longitudinal edges 34 and 36.

In a series of alternate embodiments, any of the straps, configurations, embodiments of configurations, strap systems disclosed herein, or otherwise covered devices, systems or methods within the scope of this invention, can be attached to a foot in accordance with any of the various the configurations and/or positionings shown or contemplated herein, by a suitable medical grade skin-safe adhesive, thereby allowing at least one use on a naked foot without any covering.

Inner surface 26 of elongated elasticized body 24 is preferably formed from, but not limited to, a soft hypoallergenic non-slip material that provides a soft but tactile (high coefficient of friction) interface with the skin for minimizing migration of calibrated mid-foot compression strap 22. Additionally, outer surface 28 of elongated elasticized body 24 is preferably entirely comprised of a loop type of material defining outer loop surface 28 which is compatible with a hook material for forming a hook and loop type of coupling or attachment. Hook and loop type of materials include, e.g., the commonly known material VELCRO®. In one embodiment, elongated elasticized body 24 is preferably formed from, but not limited to, a material referenced as KT-PS-01 Knew-Tek™ Pigskin Black and sold by HTI Global, Inc. 15 West Finch Street, Broadalbin, N.Y. 12025.

In one embodiment, the use of hook fabric is replaced by the use of loop fabric, and visa-versa. In one embodiment, any combination, and use of any combinations, of hook and loop fabrics on various top and bottom portions of the various straps, foot coverings, and elements described herein, moreover, is also suitable for the various relevant embodiments of this aspect of the invention.

Furthermore, outer loop surface 28 is preferably provided with indicia 38 proximate first end 30 of elongated elasticized body 24. Indicia 38 are comprised of longitudinally spaced-apart vertical level lines and associated numbers indicative of relative compression levels that allow for varying levels of compression to a foot as will be further delineated below.

Still referring to FIGS. 1 through 4, and in one embodiment, mid-foot compression strap 22 is further comprised of end portion 40 having under surface hook portion 42 compatible with outer loop surface 28 of elongated elasticized body 24 for forming a hook and loop type of coupling or attachment between one another. In one embodiment, end portion 40 is separate from elongated elasticized body 24 and, in another embodiment, end portion 40 is fixed to second end 32 of elongated elasticized body 24 by, for example, machine or hand stitching one to the other. If end portion 40 is separate from elongated elasticized body 24, then it is coupled to elongated elasticized body 24 by mounting under surface hook portion 42 of end portion 40 between two portions of outer loop surface 28 of elongated elasticized body 24 wherein one of the two portions is proximate second end 32 of elongated elasticized body 24. If end portion 40 is fixed to second end 32 of elongated elasticized body 24, then it is coupled to elongated elasticized body 24 by attaching under surface hook portion 42 of end portion 40 to outer loop surface 28 of elongated elasticized body 24.

Calibrated mid-foot compression strap 22 is provided in a plurality of sizes to accommodate different foot sizes and has a low profile, which is well-suited for use inside normal footwear. Body 24 of calibrated mid-foot compression strap 22 can be tailored to fit a particular foot size by cutting body 24 proximate to first end 30 and or proximate to end portion 40 to a length, and/or also at an angle suitable for various feet. When end portion 40 is separate from elongated elasticized body 24, then body 24 can be tailored to fit a particular foot size by cutting body 24 proximate first end 30 and/or second end 32 to an appropriate length, and also to an appropriate angle.

Referring to FIGS. 5 and 6, and in general, mid-foot compression strap 22 is wrapped around a foot 300 of a patient preferably at a mid-foot location by placing first end 30 of elongated elasticized body 24 on a dorsal surface of the mid-foot with indicia 38 face up and wrapping elongated elasticized body 24 around one side of the foot, under the foot, around the other side of the foot, and then coupling or attaching under surface hook portion 42 (FIG. 4) of end portion 40 to outer loop surface 28 of elongated elasticized body 24 at a location that provides a proper level of compression. In order to correctly obtain a proper level of compression, end 32 or end 44 of the end portion 40 is located at, or proximal to, one of the level lines and numbers of indicia 38, which is preferably determined by a health care professional. Hence, calibration indicia 38 allow for varying levels of compression to the foot for edema control wherein the setting is preferably controlled by a health care professional.

Accordingly, a method for fitting mid-foot compression strap to a particular foot may include the steps of determining an amount of compression to put on the particular foot; if necessary, cutting elongated elasticized body 24 so that end 32 or 44 is approximately at one of the indicia 38 associated with a determined amount of compression; wrapping the mid-foot with the elongated elasticized body 24 as delineated above, and attaching second end 32 to elongated elasticized body 24 utilizing end portion 40, as also delineated above.

FIG. 6 illustrates mid-foot compression strap 22 in position so as to define a calibrated mid-foot compression circumscribing member (or sleeve) configuration having a dorsal outer surface 46, a plantar outer surface 48 (FIG. 2), a medial outer surface 50, and a lateral outer surface 51, which are each correlative to the respective dorsal, plantar, medial, and lateral sides of the mid-foot compression strap 22 panel covers. Additionally, and in use, it is preferred that a portion of forward edge 36 of mid-foot compression strap 22 that is adjacent lateral outer surface 51, be positioned at about the base of the fifth metatarsal head for comfort, and that a portion of forward edge 36 of mid-foot compression strap 22 that is adjacent medial outer surface 50, be positioned at about the base of where a bunionectomy is going to be or was performed.

Referring back to FIGS. 1 and 2, and in one embodiment, hallux control strap 52 comprises first elongated strap member 54 and second elongated strap member 74 configured to cross one another for forming cruciate strap configuration 94, hallux pocket or concave portion 98, and a third strap or elastic band member 108.

In one embodiment, at least a portion of hallux pocket 98 encloses at least a portion of a hallux. As used, however, herein a hallux pocket can comprise or consist of any abutment or support piece suitable for restraining, capturing, bearing against, moving, providing traction to, or otherwise physically influencing a hallux by exerting physical pressure against it. Non-limiting suitable materials include, e.g., transparent, transleucent, woven, molded, extruded, cured, natural or synthetic material(s), including the non-limiting example formats of netting, webbing, cloth, plastic, leather, wood and/or metal—and any combination thereof.

Referring now to FIGS. 7A through 8B, and in one embodiment, hallux control strap 52 is generally Y-shaped when in an unwrapped, unfolded and uncrossed configuration. In this configuration, hallux pocket portion 98 is generally centrally located between first elongated strap member 54, second elongated strap member 74, and the third strap or elastic band member 108. Nevertheless, in various alternate embodiments a hallux pocket portion may be in any shape, out of any object(s), and/or of any material(s) suitable for pressing or abutting against a hallux, including any additional shapes/objects/materials that extend away from a point, or varying multiple points, of hallux contact, and/or away from a central location along strap member 54, strap member 74 and band member 108.

The first and second elongated strap members 54 and 74 are attached to and divergently extend away from hallux pocket portion 98 thereby forming about a 70-90 degree angle between the first and second strap members 54 and 74 that defines a crotch area 106. (This angle may however be between about 10° and about 180°, for example between about any of the following illustrative ranges: 10-170, 20-180, 40-180, 50-180, 60-180, 70-180, 80-180, 90-180, 100-180, 110-180, 120-180, 130-180, 40-60, 40-70, 40-80, 40-90, 40-100, 40-110, 40-120, 40-130, 40-140, 40-150, 40-160, 40-170, 40-180, 70-80, 70-90, 70-100, 70-110, 70-120, 70-130, 70-140, 70-150, etc. . . . ). When laid flat, each of members 54 and 74, and band 108 extend straight, and radially as if spokes extending from a hub.

In one embodiment, the angle between two non-stretch first and second strap members 54 and 74 is 90 degrees, +/− about 10 degrees. The convergence of these two straps is cut at a concave angle so strap 52 will contour to the roundness at the end of a hallux to give a more comfortable and more precise fit. The cut is about a 1.375 inch long curved cut at the end of each strap member, which forms an arc that defines a circle with about a 2.25 inch radius. In one embodiment, ends of only two strap members and a single 1 inch wide elastic band member (such as from Narrow Fabric Indus. Corp. of West Reading, Pa.) are sewn together to create a cup-like shape at their trilateral convergence. However, alternate various other cuts, widths, cut shapes and lengths suitable for applying force against a hallux can be used, as determined, for example, by the use of more than three straps and/or elastic bands, and/or various and independently determined widths of strap members and/or band members. Several non-limiting such embodiments include, two elastic bands and two strap members all having the same widths, two-four elastic bands and one strap member all having differing widths, and two elastic bands and one strap member, for example.

At a location distal from hallux pocket portion 98, first and second elongated strap members 54 and 74 respectively terminate to first free end portion 70 having first tapered end and second free end portion 90 having a second tapered end. The third strap or elastic band member 108 is attached to and extends from hallux pocket portion 98 at a location opposing crotch area 106 or the angle formed by the parting of the first and second straps members 54 and 74 and terminates to a third free end portion 116 having a third tapered end. The extension of band member 108 between strap members 54 and 74 forms two additional angles. In one embodiment these two angles between band member 108 and respective strap members 54 and 74 are the same or nearly the same, but can vary considerably.

In one embodiment, first elongated strap member 54 is comprised of first elongated elasticized body 56 having opposing longitudinal edges 58 and 60, first inner surface 62, first outer surface 64, first end 66, and second end 68 attached to first end portion 70 by, for example, machine or hand stitching.

First end portion 70 includes under surface hook portion 72 compatible with outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22 for forming a hook and loop type of coupling or attachment between the two. First inner surface 62 is formed from, but not limited to, a soft hypoallergenic non-slip material that provides a soft but tactile (high coefficient of friction) interface with the skin for minimizing migration of hallux control strap 52. Additionally, first outer surface 64 is entirely comprised of a loop type of material for defining first outer loop surface 64.

In one embodiment, first elongated elasticized body 56 is formed from, but not limited to, a material referenced as KT-PS-01 Knew-Tek™ Pigskin Black and sold by HTI Global, Inc. 15 West Finch Street, Broadalbin, N.Y. 12025 wherein this material provides soft hypoallergenic non-slip inner surface 62 and first outer loop surface 64 of first elongated elasticized body 56.

Similar to first elongated strap member 54, second elongated strap member 74 is comprised of second elongated elasticized body 76 having opposing longitudinal edges 78 and 80, second inner surface 82, second outer surface 84, first end 86, and second end 88 attached to second end portion 90 by, for example, machine or hand stitching.

Second end portion 90 includes an under surface hook portion 92 compatible with the outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22 for forming a hook and loop type of coupling or attachment between the two.

Second inner surface 82 is preferably formed from, but not limited to, a soft hypoallergenic non-slip material that provides a soft but tactile (high coefficient of friction) interface with the skin for minimizing migration of hallux control strap 52. Additionally, second outer surface 84 is preferably entirely comprised of a loop type of material for defining a second outer loop surface 84.

In one embodiment, second elongated elasticized body 76 is formed from, but not limited to, a material referenced as KT-PS-01 Knew-Tek™ Pigskin Black and sold by HTI Global, Inc. 15 West Finch Street, Broadalbin, N.Y. 12025 wherein this material provides soft hypoallergenic non-slip second inner surface 82 and second outer loop surface 84 of second elongated elasticized body 76.

Referring to FIGS. 7A and 7B, and in one embodiment, second elongated strap member 74 further comprises a slit 77 (and/or a slot, hole or other aperture(s)) disposed through second elongated elasticized body 76 through which first elongated strap member 54 threads through by taking, for example, path 73 illustrated in FIG. 10 for forming cruciate strap configuration 94 having crossing 96 of the two elongated strap members 54 and 74 as illustrated in at least FIG. 11. In this cruciate strap configuration 94, a first portion or area of first elongated strap member 54 overlaps second elongated strap member 74 prior to entering slit 77 and a second portion or area of the first elongated strap member 54 passes under second elongated strap member 74 after passing through slit 77. Alternatively, the first portion or area of first elongated strap member 54 passes under second elongated strap member 74 prior to entering slit 77 and the second portion or area of first elongated strap member 54 overlaps second strap member 74 after passing through the slit or slot 77.

In one configuration, slit (and/or other aperture(s)) 77 is disposed in second elongated strap member 74 at a location that aligns the crossing of the two elongated straps 54 and 74 at a general location of the first metatarsal phalangeal joint of the foot or, more specifically, the crossing of the two elongated straps 54 and 74 abuts against the medial exterior surface of the foot proximate the first metatarsalphlangeal joint.

In another embodiment, strap member 54 has slit 77, but strap 74 does not or both have at least one or a series of such apertures, so that one may thread over and through the other accordingly.

Referring to FIGS. 8A and 8B, and in another embodiment, the second elongated strap member 74 does not have slot 77 (or any aperture) and first elongated strap member 54 passes over or under second elongated strap member 74 for forming a cruciate strap configuration 94 having a crossing 96 of the two elongated strap members 54 and 74.

Referring to FIGS. 7A through 8B, hallux pocket or concave portion 98 comprises concave inner surface 100 and convex outer surface 102 and is formed by an attachment of first end 66 of first elongated strap member 54 with first end 86 of second elongated strap member 74. This attachment is provided by, for example, machine or hand stitching. Alternatively, first and second elongated strap members 54 and 74 may be attached by being integrally formed with one another at their first ends 66 and 86 for forming hallux pocket or concave portion 98. Ends 66 and 86 juxtapose to form common end 104 of hallux pocket or concave portion 98 at a location opposing crotch area 106 defined by the angle formed by the parting of first and second elongated strap members 54 and 74.

Third strap or elastic band member 108 is comprised of at least one elasticized body 110 extending between first end 112 and second end 114. In one embodiment, the at least one elasticized body 110 is formed from, but not limited to, a blend of Nylon and an elastomer such as Lycra.

First end 112 of the at least one elasticized body 110 is attached to common end 104 of hallux pocket or concave portion 98 at a location opposing crotch area 106 or the angle formed by the parting of first and second elongated strap members 54 and 74. This attachment is provided by, but not limited to, machine or hand stitching.

Second end 114 of the at least one elasticized body 110 is attached to third end portion 116 by, but not limited to, machine or hand stitching. Third end portion 116 includes under surface hook portion 118 compatible with outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22 for providing a hook and loop type of coupling or attachment between the two.

In use and operation, and referring to FIGS. 1 and 2, and 9 through 16, the hallux control strap system 20 comprises alternatively usable configurations comprised of a hallux valgus control or varus configuration 210, a hallux exercise configuration 220, and a hallux plantar plane splinting configuration 230.

Hallux Valgus Control or Varus Configurations

Bunion surgery corrects a hallux that is in a valgus position, but unless the soft tissue is corrected it will eventually pull the hallux back into valgus recreating the problem that was just fixed surgically. Accordingly, one challenge to make sure that the soft tissue realigns itself properly because the toe has had either months or years where the soft tissue had been held in a preoperative position. After surgical correction, therefore, if the hallux is not properly splinted in position the toe will eventually migrate back into the preoperative valgus position.

Referring to FIGS. 1, 2, 12 and 13, and in several configurations, hallux control strap system 20 provides at least one valgus control or at least one varus configuration 210.

In this configuration, and referring to FIGS. 9 and 10, in one embodiment calibrated mid-foot compression strap 22 of hallux control strap system 20 is applied to foot 300 of a patient as delineated above. Next, hallux control strap 52 is operatively applied to foot 300 of the patient by placing concave inner surface 100 (FIG. 7A) of hallux pocket or concave portion 98 on or against the front and lateral side of the hallux 302 before or after first elongated strap member 54 is threaded or passed through slit 77 of second elongated strap member 74 (or first elongated strap member 54 is passed over or under second elongated strap member 74) for forming cruciate strap configuration 94 (FIG. 11). In this configuration, the crossing or intersection 96 of first and second elongated strap members 54 and 74 is positioned along the medial side of foot 300 with the first and second elongated strap members 54 and 74 divergently extending therefrom in a V-shaped pattern and then terminating to first and second free end portions 70 and 90 utilized by the user to tension cruciate strap configuration 94, and then to secure respective end portions 70 and 90 via respective paths 73 and 93 to calibrated mid-foot compression strap 22 by coupling or attaching respective under surface hook portions 72 and 92 of respective strap members 54 and 74 to outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22. With this coupling or attachment, component forces of first and second strap members 54 and 74 sum together and extend down the medial side of the foot 300. More specifically, a summation of force components of first and second elongated strap members 54 and 74 respectively extend in opposite directions or toward the dorsal and plantar sides of the foot thereby stabilizing dorsal and plantar translation and if equal, these opposing forces cancel one another out while a summation of force components of first and second elongated strap members 54 and 74 that extend substantially along the medial side of the foot add together for abducting or separating the hallux 302 from second toe 304 of foot 300 thereby opposing valgus forces acting on hallux 302. When the force components that extend toward the dorsal and plantar surfaces of the foot substantially cancel one another out, hallux 302 is abducted or separated from second toe 304 of foot 300 in a plane that is generally parallel to the plantar plane of foot 300.

Next, and referring to FIG. 11, third or elastic strap member 108 is tensioned and passed via path 119 over a medial side of hallux 302 and the intersection of cruciate configuration 94 of first and second elongated strap members 54 and 74 and then attached medially to calibrated mid-foot compression strap 22 to apply an additional abduction force or pressure to hallux 302. This attachment or coupling is provided by under surface hook portion 118 of third end portion 116 of the third or elastic strap member 108 attaching or coupling to outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22, thereby providing a hook and loop type of attachment or coupling between the two.

Referring to FIGS. 12 and 13, in one embodiment hallux control strap 52 is worn by a patient in this valgus control or varus configuration 210 to abduct the great toe or hallux 302 and put hallux 302 in a varus position to stabilize and retain hallux 302 in this position for 6 to 8 weeks post surgery. After about eight weeks, all the soft tissue generally heals and there is nothing more that can be done with the capsular soft tissue. The hallux control strap 52 is typically worn in this valgus control or varus configuration 210 at night, throughout the day, and in a walking boot or non-weight bearing apparatus typically worn for the first couple of weeks because of the pain and swelling associated with surgery. There are several different types of surgery that is used for the correction of the hallux 302 when the toe is in a valgus position, but all of these types of surgery deal with the same soft tissue healing process. Accordingly, the hallux control strap 52 is generally applicable for all the different types of surgery or the correction of the hallux when the toe is in a valgus position.

Exercise Configurations

Referring to FIGS. 14 and 15, and back to FIGS. 5 through 8, and in several other configurations (determined specifically by and optionally subject to varying adjustment(s) and readjustment(s) per bidirectional arrows W and X), hallux control strap system 20 provides exercise configuration 220, which should only be maintained during an exercise session. In this configuration, (and other similar ones) calibrated mid-foot compression strap 22 of hallux control strap system 20 is applied to the foot 300 of a patient as delineated above. Next, ° hallux control strap 52 is operatively applied to the foot of the patient by placing concave inner surface 100 of hallux pocket or concave portion 98 on or against the bottom or plantar surface of hallux 302 before or after first elongated strap member 54 is threaded or passed through slit 77 of second elongated strap member 74 (or, e.g., first elongated strap member 54 is passed over or under second elongated strap member 74) for forming cruciate strap configuration 94. In this configuration, the intersection of first and second elongated strap members 54 and 74 is positioned along the top or dorsal surface of hallux 302 with first elongated strap member 54 extending from the hallux pocket or concave portion 98 along the lateral side of hallux 302 and then through the intersection on the dorsal surface of hallux 302 and with second elongated strap member 74 extending from the hallux pocket or concave portion 98 along the medial side of the hallux 302 and then to or through the intersection on the dorsal surface of hallux 302. First and second elongated strap members 54 and 74 divergently extend from the intersection of the cruciate strap configuration 94 in a V-shaped pattern and then terminate to first and second free end portions 70 and 90 utilized by the user to tension the cruciate strap configuration 94, and then to secure the respective strap members 54 and 74 to the calibrated mid-foot compression strap 22 by coupling or attaching the respective under surface hook portions 72 and 92 of strap members 54 and 74 to outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22. In one embodiment, first end portion 70 of first elongated strap member 54 is generally attached or coupled to the dorsal outer surface 46 and, perhaps, a little on the medial outer surface 50 of calibrated mid-foot compression strap 22 and second end portion 90 of second elongated strap member 74 is generally attached or coupled to the dorsal outer surface 46 of the calibrated mid-foot compression strap 22. With this coupling or attachment, component forces of first and second strap members 54 and 74 sum together and generally extend down the dorsal side of the foot 300 with components forces in the valgus and varus direction generally canceling one another. Next, the third or elastic strap 108 is tensioned and passed over the top or dorsal side of hallux 300 and over the intersection of the cruciate strap configuration 94 and then, under tension, attached dorsally to calibrated mid-foot compression strap 22 to apply a force or pressure to the hallux which places the hallux in a dorsiflexed position. This attachment or coupling is provided by under surface hook portion 118 of third end portion 116 of the third or elastic strap 108 dorsally attaching or coupling to outer loop surface 28 of the elongated elasticized body 24 of calibrated mid-foot compression strap 22, thereby providing a hook and loop type of attachment or coupling between the two.

With the toe in a dorsiflexed position, the patient moves hallux 302 to apply force against the resistance of the third or elastic strap 108 to move hallux 302 from a dorsiflexed position toward a plane generally parallel to a plantar plane of the foot for actively exercising the intrinsic muscles under the foot or connected to the hallux, i.e., the hallux longus (calf muscle) and the hallux brevis. These are muscles that are essential to proper push (toe) off in a normal gait pattern. In one embodiment, this exercise modality typically begins at day two after the surgery, but this is determined by the surgeon. As noted above, this configuration is for exercise only, and once the exercise is completed, hallux control strap 52 is put in a valgus control or varus configuration 210 delineated above or in a plantar plane splinting position 230 as delineated below.

In one embodiment, various strapping configurations allow for a range of digital flexion motions and angles. As a non-limiting example, strap 52 can thus be used, e.g., to provide up to about a −30 degree plantar flexion angle to about a +60 degree dorsiflexion angle, both while stabilizing the hallux in an optimal zero degree valgus angle

Plantar Plane Splinting Configurations

Referring to FIG. 16, and also back to FIGS. 5 through 8B, in several other further configurations, hallux control strap system 20 provides plantar plane splinting configuration 230. In this configuration (and other similar configurations), calibrated mid-foot compression strap 22 of hallux control strap system 20 is applied to foot 300 of the patient as delineated above. Next, hallux control strap 52 is operatively applied to foot 300 of a patient by placing concave inner surface 100 of hallux pocket portion 98 on or against the front and top or dorsum side of hallux 302 before or after the first elongated strap member 54 is threaded or passed through slit 77 of second elongated strap member 74 (or, e.g., first elongated strap member 54 is passed over or under second elongated strap member 74) for forming cruciate strap configuration 94, and placing the intersection of the crossing of first and second elongated strap members 54 and 74 along the bottom or plantar side of the foot 300. First elongated strap member 54 is extended from hallux pocket portion 98 along the medial side of hallux 302 and then to the intersection under the plantar side of foot 300 and second elongated strap member 74 is extended from hallux pocket portion 98 along the lateral side of hallux 302 and then to the intersection of the cruciate strap configuration 94 located under the plantar side of foot 300. First and second elongated strap members 54 and 74 are divergently extended from the intersection in a V-shaped pattern and then terminate to first and second end portions 70 and 90 utilized by the user to tension the respective strap members 54 and 74 of cruciate strap configuration 94 and to secure respective strap members 54 and 74 to calibrated mid-foot compression strap 22. This is done by coupling or attaching respective under surface hook portions 72 and 92 of strap members 54 and 74 to outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22. In one embodiment, first and second end portions 70 and 90 are generally attached or coupled to plantar outer surface 48 (FIG. 2) of calibrated mid-foot compression strap 22. With this coupling or attachment, component forces of first and second strap members 54 and 74 sum together and generally extend down the plantar side of foot 300 with component forces in the valgus and varus direction generally canceling one another. Next, the third or elastic strap 108 is tensioned and positioned over the bottom or plantar side of hallux 302 and over the intersection of the cruciate strap configuration 94 and then attached plantarly to calibrated mid-foot compression strap 22, to apply an additional force or pressure to the hallux which places the hallux in a plantarflexed position. This attachment or coupling is provided by under surface hook portion 118 of the third end portion 116 of the third or elastic strap 108 dorsally attaching or coupling to outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22, thereby providing a hook and loop type of attachment or coupling between the two.

Plantar plane splinting configuration 230 of hallux control strap system 20 increases the range of motion of hallux 302 in the plantar plane, which allows for the creation of the strength for push off in gait. Any joint has strength only in its range of motion but not at the end of the range of motion. Proper push off of hallux 302 reduces the incidence of other complications such as metatarsalgia in second toe 304 and plantar plate disruption of second toe 304, both of which occur due to too much force being placed on the second toe because hallux 302 has a diminished weight and force bearing roll due to lack of strength or range of motion. Accordingly, hallux plantar plane splinting configuration 230 is important for normal gait.

In one embodiment, splinting and exercising of hallux 302 is needed for 6-8 weeks following bunionectomy surgery. This is a time frame the body needs for proper healing. Without proper soft tissue care by correctly aligning hallux 302 and exercising the supporting musculature, the surgical repair has a higher complication rate and a higher potential for additional surgical intervention or eventual pain and malalignment of hallux 302.

Osteotomy Strap Systems

Referring now to FIGS. 17 through 20 and back to FIGS. 3 and 4, and in one embodiment, a digital or toe strapping system system is comprised of osteotomy strap system 120. Osteotomy strap system 120 is comprised of calibrated mid-foot compression strap 22 (and/or e.g., a circumscribing member, sleeve and/or sock) and T-shaped osteotomy strap 122. T-shaped osteotomy strap 122 is comprised of an upper or toe strap member 124 that wraps circumferentially around one or more toes and, in one embodiment, around the body of second digit 304 and/or third digit 306 of foot 300 and an elongated lower or base strap member 144, which is preferably integrally formed with the upper or toe strap member 124 and which attaches to calibrated mid-foot compression strap 22 in a osteotomy plantar plane splinting configuration 240 for placing a second and/or third digit of the foot in a plantar flexed position.

Toe strap member 124 wraps completely and snugly around the entire circumference of the toe, making sure that edge 138 is seated at the base of the toe space so the application of force is on the metatarsalphlangeal (solely or primarily), or all toe joints, or along nearly the entire length of the toe (or in an alternate embodiment at least along ⅓ or ½ its length), which splints the toe straight. Unlike a basic elastic loop, it first allows splinting by keeping the joints of the toe from flexing. It second affords such splinting and movement of the entire toe all together and in a particular direction, which is in accordance with the angle of attachment of base strap member 144 to a particular position of the foot (e.g., on surface 28), as indicated by any combination of movements along transverse lateral-medial bi-directional arrows Y and posterior-anterior bidirectional arrows Z. This angle of attachment is such that the tensioning of the strap pulls the toe into about a −5 degree angle in the plantar direction with respect to a line coaxial with a normal, healthy, straight position of the toe. However, at least one embodiment allows movement between a 0-20° angle with respect to the plantar plane (by stretching along direction arrows Z), and between 0-80° (or about 0-20°, or 0-50)° with respect to the toe's metatarsal axes (by rotating along direction arrows Y). As such, strap member 124 wraps around each lesser digit substantially or nearly perpendicular, or perpendicular, to the plane defined by base strap member 144. Also assisting in this function is that strap member 124 and base strap member 144 are coplanar and made from a single piece of material, though this is not required in each embodiment.

More specifically, and referring to FIGS. 17 and 18, the upper or toe strap member 124 is comprised of an elongated elasticized body 126 having an inner surface 128, an outer surface 130, opposing first and second ends 132 and 134, and opposing upper and lower longitudinal edges 136 and 138. In this embodiment, osteotomy strap system 120 is not merely a single unit that positions one or more of the lesser digits in a plantar flexed position. System 120 has the added capability to apply a splinting force on the toe(s) in a specific direction. This is important for several reasons. Particularly with the second ray (toe), when the hallux is in a valgus position a force that merely positions the lesser digits (e.g., second ray) in a plantar flexed position also puts the second ray into a valgus position. If the proximal end(s) of the toe (or toes) are pulled in a downward and rearward motion the metatarsal angle has been compromised into a higher valgus angle and any rearward tensioning on the toe will actually exacerbate the tow angle and create more valgus on the second ray, which is exactly opposite from what should occur when applying an appropriate splinting force, which is to reduce the metatarsal angle between the toes to have a straighter alignment. Thus, the particular structure of this embodiment provides a splinting force that does not create lesser digit valgus.

Inner surface 128 is formed from, but not limited to, a soft hypoallergenic non-slip material that provides a soft but tactile (high coefficient of friction) interface with the skin for minimizing migration of the T-shaped osteotomy strap 122. Additionally, outer surface 130 is entirely comprised of a loop type of material defining outer loop surface 130. One type of material that provides the soft hypoallergenic non-slip inner surface 128 and outer loop surface 130 of first elongated elasticized body 126 is, but not limited to, a material referenced as KT-PS-01 Knew-Tek™ Pigskin Black and sold by HTI Global, Inc. 15 West Finch Street, Broadalbin, N.Y. 12025.

The upper or toe strap member 124 is further comprised of end portion 140 attached by, but not limited to, machine or hand stitching to second end 134 of the elongated elasticized body 126 of upper or toe strap member 124. End portion 140 comprises under surface hook portion 142 compatible with outer loop surface 130 of elongated elasticized body 126 of the upper or toe strap member 124 for forming a hook and loop type of coupling or attachment with outer loop surface 130 when the upper or toe strap member 124 wraps circumferentially around one or more toes via paths 133 and 135 illustrated in FIG. 18, and specifically, around the body of second digit 304 and/or third digit 306 of foot 300.

The elongated lower or base strap member 144 is comprised of elongated elasticized body 146 having inner surface 148, outer surface 150, opposing first and second ends 152 and 154, and opposing inner and outer longitudinal edges 158 and 160.

Inner surface 148 is preferably formed from, but not limited to, a soft hypoallergenic non-slip material that provides a soft but tactile (high coefficient of friction) interface with the skin for minimizing migration of the T-shaped osteotomy strap 122 and the outer surface 150 is entirely comprised of a loop type of material defining an outer loop surface 150. One type of material that provides soft hypoallergenic non-slip inner surface 148 and outer loop surface 150 of first elongated elasticized body 146 of the elongated lower or base strap member 144 is, but not limited to, a material referenced as KT-PS-01 Knew-Tek™ Pigskin Black and sold by HTI Global, Inc. 15 West Finch Street, Broadalbin, N.Y. 12025.

Additionally, first end 152 of elongated elasticized body 146 of elongated lower or base strap member 144 is integrally formed with a medial portion of lower longitudinal edge 138 of the upper or toe strap member 124 such that in an on-rolled configuration the upper or toe strap member 124 is divided into first and second sections 166 and 168 such that first section 166 extends in one direction substantially at right angles to the elongated lower or base strap member 144 and such that second section 168 extends in a direction opposite said one direction and at substantially right angles to the elongated lower or base strap member 144.

Furthermore, elongated lower or base strap member 144 is further comprised of end portion 162 attached by, but not limited to, machine or hand stitching to second end 154 of elongated elasticized body 146 of elongated lower or base strap member 144. End portion 162 having an under surface hook portion 164 compatible with outer loop surface 28 of elongated elasticized body 24 of the calibrated mid-foot compression strap 22 for forming a hook and loop type of removable coupling or attachment between the two.

In use and operation, and referring to FIGS. 17 through 20, in one embodiment osteotomy strap system 120 is applied in an osteotomy splinting configuration 240 by steps including applying calibrated mid-foot compression strap 22 to the mid-foot of the patient as delineated above; locating the upper or toe strap member 124 of T-shaped osteotomy strap 122 under the body of second digit 304 and/or third digit 306 of foot 300 such that the soft but tactile inner surface 128 faces the skin of second digit 304 and/or third digit 306 and elongated lower or base strap member 144 posteriorly extends toward the heal of foot 300. First section 166 of the upper or toe strap member 124 is wrapped around the lateral side of second digit 304 and/or third digit 306, and second section 168 is wrapped around the medial side of second digit 304 and/or third digit 306. Under surface hook portion 142 of end portion 140 is attached to the outer loop surface 130 of elongated elasticized body 126 of the upper or toe strap member 124 for encircling second digit 304 and/or third digit 306 of foot 300 with the upper or toe strap member 124. It further includes tensioning elongated lower or base strap member 144 to place second digit 304 and/or third digit 306 of foot 300 into a plantarflexed position, and attaching under surface hook portion 164 of elongated lower or base strap member 144 to outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22 at a location that splints second digit 304 and/or third digit 306 of foot 300 in a plantarflexed position.

In this osteotomy splinting configuration 240, osteotomy strap system 120 holds the surgical toe in a plantarflexed position so that the scarring that takes place does so in a manner that precludes dorsal drift and a condition known as floating toe, which is a condition where the surgical toe raises up superior to the other toes, thereby creating a problem for the foot to fit into footwear. Additionally, osteotomy strap system 120 can easily be worn in a walking boot, post-op shoe, or normal footwear and may also be used non-operatively to treat metatarsalgia.

In one embodiment, osteotomy strap system 120 is worn for the first 6-8 weeks following surgery until the soft tissue is healed. Osteotomy strap system 120 is worn at least throughout the night and also, preferably, during the day. Soft but tactile inner surfaces 128 and 148 of the T-shaped osteotomy strap 122 provide a soft yet strong resilient material to hold the surgical toe in a neutral position or a plantar flexed position for extended periods of time without causing skin abrasion or skin breakdown that result in unsuccessful rehabilitation of the post surgical toe. The adjustable upper or toe strap member 124 allows effective capturing and securing of the post surgical toe.

Referring now to FIGS. 21 through 24 and back to FIGS. 3 and 4, and in one embodiment, osteotomy strap system 120 is further comprised of an osteotomy exercise strap system 170. Osteotomy exercise strap system 170 is comprised of calibrated mid-foot compression strap (and/or other foot securing feature, such as shown above and below) 22 and a T-shaped osteotomy exercise strap 172. T-shaped osteotomy exercise strap 172 is comprised of an upper or toe strap member 174 that wraps circumferentially around one or more toes via paths 183 and 185 illustrated in FIG. 22 and, specifically, around the body or proximal shaft of the second digit 304 and/or third digit 306. T-shaped osteotomy exercise strap 172 is further comprised of a lower strap or elastic band member 198, which is attached to toe strap member 174 and which is removeably coupled to calibrated mid-foot compression strap 22 in a osteotomy exercise configuration 250 for placing second digit 304 and/or third digit 306 of foot 300 in a dorsiflexed position and providing resistance, against which second digit 304 and/or third digit 306 can apply a force to move from the dorsiflexed position toward a plantar plane of the foot for actively exercising at least the surgical toe for increasing the strength in the surgical toe thereby improving function therein.

More specifically, the upper or toe strap member 174 is comprised of elongated elasticized body 176 having inner surface 178, outer surface 180, opposing first and second ends 182 and 184, and opposing upper and lower longitudinal edges 186 and 188.

Inner surface 178 is formed from, but not limited to, a soft hypoallergenic non-slip material that provides a soft but tactile (high coefficient of friction) interface with the skin for minimizing migration of the T-shaped osteotomy exercise strap 172. Additionally, outer surface 180 is entirely comprised of a loop type of material for defining an outer loop surface 180. One type of material that provides the soft hypoallergenic non-slip inner surface 178 and the outer loop surface 180 of the elongated elasticized body 176 is, but not limited to, a material referenced as KT-PS-01 Knew-Tek™ Pigskin Black and sold by HTI Global, Inc. 15 West Finch Street, Broadalbin, N.Y. 12025.

Toe strap member 174 is further comprised of a end portion 190 attached by, but not limited to, machine or hand stitching to second end 184 of elongated elasticized body 176 of toe strap member 174. End portion 190 comprises an under surface hook portion 192 compatible with outer loop surface 180 of elongated elasticized body 176 of toe strap member 174 for forming a hook and loop type of coupling or attachment with the outer loop surface 180 when the toe strap member 174 wraps circumferentially around one or more toes via paths 183 and 185 illustrated in FIG. 22 and, specifically, around the body or proximal shaft of second digit 304 and/or third digit 306 of foot 300.

In one embodiment, each lower strap or elastic band member 198 is comprised of at least one elasticized body 200 extending between first end 202 and second end 204.

In one embodiment, the elasticized body 200 is formed from, but not limited to, a blend of Nylon and an elastomer such as Lycra. FIG. 25 illustrates an embodiment of lower strap or elastic band member 198 comprised of a plurality of elasticized bodies 200 for providing a higher level of resistance.

Additionally, each first end 202 of each elasticized body 200 is attached by, but not limited to, machine or hand stitching to a medial portion of lower longitudinal edge 188 of the elongated elasticized body 176 of toe strap member 174 such that in an on-rolled configuration toe strap member 174 is divided into first section 194 and second section 196 such that first section 194 extends in one direction and second section 196 extends in a direction opposite said one direction.

Furthermore, end portion 206 is attached by, but not limited to, machine or hand stitching to each second end 204 of each elongated elastic body 200 of each elastic band member 198. End portion 206 comprises under surface hook portion 208 compatible with the loop type of material of outer loop surface 28 of the elongated elasticized body 24 of the calibrated mid-foot compression strap 22 for forming a hook and loop type of removable coupling or attachment between the two.

In use and operation, and referring to FIGS. 21 through 25, in one embodiment osteotomy exercise strap system 170 is applied in the osteotomy exercise configuration 250 by the steps including, applying calibrated mid-foot compression strap 22 to the mid-foot of the patient as delineated above; locating upper or toe strap member 174 over the body of second digit 304 and/or third digit 306 of foot 300 such that soft but tactile inner surface 178 faces the skin of the digit or digits and the elastic strap member 198 extends posteriorly along the dorsal side of the foot 300; wrapping first section 194 of toe strap member 174 around second digit 304 and/or third digit 306 of foot 300, starting along the lateral side of the second or third digit; wrapping second section 196 around second digit 304 and/or the third digit 306, starting along the medial side of the second or third digit; attaching under surface hook portion 192 of end portion 190 to outer loop surface 180 of elongated elasticized body 176 of toe strap member 174 for encircling the second digit 304 and/or third digit 306 of foot 300 with the toe strap member 174; tensioning at least one elastic strap member 198 to pull second digit 304 and/or third digit 306 of foot 300 into a dorsiflexed position; and attaching the under surface hook portion 208 of at least one elastic strap member 198 under tension to outer loop surface 28 of elongated elasticized body 24 of calibrated mid-foot compression strap 22 at a location that tensions second digit 304 and/or third digit 306 of foot 300 in the dorsiflexed position.

In the process of rehabilitation, osteotomy exercise strap system 170 can employ elastic band member 198 having one or more elasticized bodies 200 for varying resistance for use in a strengthening program that starts out with a low resistance level using a single elasticized body 200 and with low repetitions and works up either through more repetitions and/or more resistance via a plurality of elasticized bodies 200. Typically the surgical toe is the second digit, but sometimes the osteotomy is done on both the second and third digit. If the second digit is the surgical toe, the T-shaped osteotomy exercise strap 172 can be applied to the second digit as described above or, if the second digit does not have enough initial strength, the T-shaped osteotomy exercise strap 172 can be applied to the second and third digit to put them together during exercise.

With at least the surgical toe in the dorsiflexed position, the patient moves at least the surgical toe to apply force against the resistance of one or more elasticized bodies 200 to plantar flex at least the surgical toe for actively exercising the tendons and ligaments associated with at least the surgical toe. An exercise program may include exercising one or more times a day by utilizing the T-shaped osteotomy exercise strap 172 comprising a single elasticized body 200 or a plurality of elasticized bodies 200. For example, the exercise program may initially utilize T-shaped osteotomy exercise strap 172 comprising a single elasticized body 200 for performing three sets of 10 plantar flexes twice a day and then three sets of 10 plantar flexes three times a day then three sets of 15 plantar flexes three times a day and then utilize T-shaped osteotomy exercise strap 172 comprising a plurality (e.g. three) of elasticized bodies 200 (FIG. 25) for providing multiple (e.g. three) times the resistance for use in the above protocol of sets and repetitions, thereby providing a postoperative rehabilitation program for foot 300 so the patient can go back into a normal walking position.

In one embodiment, any or all of the above and below-described hallux and/or osteotomy embodiments alternately include less than entire surface coverage of mid-foot member 22 by hook and/or loop fabric, but nevertheless afford attachment of straps or bands along nearly their full, or their full, longitudinal and/or latitudinal surfaces. For example, intermittently spaced patches, circles, stripes, or panels of attachment surface are also suitable.

Referring to FIGS. 26 and 27, in one embodiment osteotomy base strap member 144 attaches to a compression sleeve 400 to provide a plantar configuration 240 by splinting and redirecting a toe with toe strap member 124.

Referring to FIGS. 28A and 28B, in one embodiment hallux control strap 506 has a toe connection strap 500, including longitudinal wrapping member 501, inner side end attachment portion 502, and outer side strap receiving portion 507. Otherwise, hallux control strap 506 is, be need not be, substantially the same as strap 52. In this configuration, a hallux pocket portion is generally centrally located between first elongated strap member 510, second elongated strap member 520, and the third strap or elastic band member 530. However, one or more toe connection straps 500 allow added versatility to the number of functionally effective strapping configurations provided by hallux control strap 506 (and alternately to any osteotomy strap). First and second elongated strap members 510 and 520 are attached to and divergently extend away from the hallux pocket portion, thereby forming about a 90 degree angle between the first and second strap members 510 and 520, and toe connection member 500 extends substantially perpendicular from either, or any and all of, strap members 510 and 520. Toe connection member 500 extends from a location proximal to the attachment position of strap member 510, but can be positioned anywhere along any of strap members 510, 520 and/or band 530. Although not absolutely needed, toe attachment member assists in securing strap 500 to a toe, here a hallux, as seen in the FIGS. described below. It nevertheless provides for a more diverse number of hallux pocket placement positions about various portions of a hallux, and similarly provides the same for an osteotomy strap regarding a lesser digit.

Referring to FIG. 29, in one embodiment strap 506 is attached substantially similar to the attachment described in FIG. 16 except for a few notable exceptions, which are that attachment strap 500 is wrapped around a hallux and strap member 510 is stretched tightly and wrapped under the plantar and medial sides, and then over and around an instep.

Referring to FIG. 30, in one embodiment strap members 510 and 520, and band 530 wrap (i.e., are wrapped) from a hallux pocket portion placed on a hallux toe nail but affixed to the hallux in part by attachment strap 500. Strap member 510 wraps across a hallux dorsal surface, around a medial side and to a plantar surface of a foot; strap member 520 wraps between the hallux and lesser digit, under a plantar surface, around a medial side and onto a foot dorsal surface; band 530 wraps over the central tip of a hallux, and diagonally across the plantar surface from the medial to the lateral side.

Referring to FIG. 31, in one embodiment strap member 510 wraps across and around a hallux lateral surface, under the hallux plantar surface and to a medial side of a foot; strap member 520 wraps between the hallux and a lesser digit, over a dorsal proximal portion of a hallux surface, and around to a medial side of the foot; band 530 stretches and wraps per direction arrow D under the central or medial side tip of a hallux (to which strap 507 is in part anchored by attachment member 500), and pulled to the posterior of the foot for attachment across a central axis of the plantar surface of the foot.

Referring to FIG. 32, in one embodiment strap member 510 wraps across and around a hallux lateral surface, under the proximal hallux plantar surface and rearwards to the plantar surface of the foot; strap member 520 wraps between the hallux and lesser digit, over a dorsal proximal hallux surface, and around a dorsal side of the foot and generally parallel to the foot along a medial side foot surface; band 530 stretches and wraps around the lateral, front and medial side tip of a hallux (to which strap 507 is in part anchored by attachment member 500), and pulled to the posterior of the foot for parallel attachment across a central axis of the medial side surface of the foot. All three straps or band 510, 520 and 530 are substantially parallel.

Referring to FIG. 33A-C, in one embodiment strap member 510 wraps along a hallux lateral surface between the hallux and a lesser digit, and rearwardly along a plantar side of a foot; strap member 520 wraps over the distal front tip and dorsal surface of the hallux, and around a medial side of the foot to a medial-plantar side foot surface; band 530 stretches and wraps substantially parallel or parallel under the central plantar surface of the hallux (to which strap 507 is in part anchored by attachment member 500), and pulled to the posterior of the foot for attachment across a central axis of the plantar surface of the foot. All three straps or band 510, 520 and 530 are substantially parallel.

Referring to FIG. 34A-B, in one embodiment strap member 510 wraps across and around a hallux lateral surface, under the proximal hallux plantar surface and to a medial plantar side of a foot; strap member 520 wraps under the hallux plantar surface, and around a medial side of the foot to a medial-dorsal side foot surface; band 530 stretches and wraps directly over the central tip of a hallux (to which strap 507 is in part anchored by attachment member 500, which overlays strap member 520 and has mating hook or loop fabric as appropriate to be secured at both its upper and lower surfaces), and pulled to the posterior surface of the foot for attachment across a central axis of the dorsal surface of the foot at the top portion of the instep, wherein the band is tensioned for exercise such that a substantial length of which is not connected to the foot or sleeve. All three straps or band 510, 520 and 530 are substantially parallel.

Referring to FIG. 35, in one embodiment elastic band 535 replaces strap member 520. Strap member 510 wraps across and around a hallux lateral surface, under the hallux plantar surface and to a medial side of a foot; elastic band 535 wraps between the hallux and a lesser digit, over a dorsal lower hallux surface, and rearward to the top medial side of the dorsal surface of the instep; elastic band 530 stretches and wraps under around the central or medial side tip of a hallux (to which strap 507 is in part anchored by attachment member 500), and pulled to the posterior of the foot for attachment across the medial side surface of the foot with its end at the plantar medial surface, such that it extends somewhat diagonally downwards. All three strap(s) or band(s) 510, 535 (or e.g., strap member 520 when elastic band 535 is not used) and 530 are substantially parallel.

Thus, as seen in the embodiments of FIGS. 32-35, strap members 510 and 520, and band 530 with respect to all of which, or at least with respect to any two of which, form a substantially parallel strap configuration, either on the same medial, dorsal or plantar side of a foot or opposing dorsal and plantar sides of a foot.

In light of the above detailed description, and in one aspect, a digital or toe strapping system is provided that allows a patient or non-patient individual user to stretch and exercise the digits hands free.

In another aspect, an embodiment of the hallux control strap system comprises a calibrated mid-foot compression strap, circumscribing member, sock or sleeve, and a hallux control strap that receives and wraps the hallux in a crisscross strap enclosure and that is dynamically tensioned and coupled medially to the foot via the calibrated mid-foot compression strap, circumscribing member, sock or sleeve for applying additional abduction pressure to the hallux.

In another aspect, an embodiment of the hallux control strap system comprises a hallux control strap that can couple to the foot either plantarly or dorsally via a the calibrated mid-foot compression strap, circumscribing member, sock or sleeve for positioning the hallux plantarly (toward the floor when user is standing), which stretches the hallux extensors or for positioning the hallux dorsally to exercise the plantar flexors of the foot.

In another aspect, an embodiment of the osteotomy strap system comprises a T-shaped osteotomy strap for providing a plantar splinting action and force that originates at the base of the surgical toe so the force is on the metatarsalphlangeal joint (MTP)

In another aspect, in an embodiment the osteotomy strap system comprises a T-shaped osteotomy strap for providing, after osteotomy surgery of the second or third digit or toe, proper splinting of the second or third toe in a plantar position required to hold that toe in a healing position so the scarring that takes place does so in a manner that prevents a condition known as floating toe. Floating toe is a condition where the surgical toe raises up superior to the other toes.

In another aspect, in an embodiment the osteotomy strap system comprises a set of osteotomy exercise straps for varying levels of resistances so the patient can progress with increased resistances as the patient progresses for increasing strength in the surgical toe, thereby improving function.

In another aspect of the present invention is directed to a method of hallux control and/or a method of osteotomy therapy that includes any combination of the embodiments, features, components and techniques substantially as described above. Other embodiments, techniques or devices can also or alternately be used in this method aspect, and its various embodiments.

While it is apparent that the illustrative embodiments of the invention disclosed herein fulfill one or more objectives of the present invention, it is appreciated that numerous modifications and other embodiments may be devised by those skilled in the art. Additionally, feature(s) and/or element(s) from any embodiment may be used singly or in combination with other embodiment(s). Therefore, it will be understood that the appended claims are intended to cover all such modifications and embodiments that would come within the spirit and scope of the present invention. 

1. A hallux control strap system, comprising: a hallux pocket portion at least a part of which is configured to at least partially receive or abut against a hallux of a foot; a first strap member extending from the hallux pocket portion and terminating to a first free end; a second strap member extending from the hallux pocket portion and terminating to a second free end; said first and second strap members configured to cross after extending from the hallux pocket portion and before terminating to the first and second free ends for defining a substantially parallel or cruciate strap configuration extending from the hallux pocket portion and terminating to the first and second free ends, wherein the first and second strap members are alternately configurable to extend at a variety of angles with respect to one another, but are attached to the hallux pocket portion so as to extend at about a 30 degree to about a 180 degree angle with respect to each other when both are in an unwrapped and unfolded, single coplanar state; and means for removeably anchoring the first and second free ends to a covered or naked portion of the foot.
 2. The system of claim 1 further comprising an elastic band extending from the hallux pocket portion at a location opposing an area of the hallux pocket portion interposed between the first and second strap members and the elastic band terminating to a third free end.
 3. The system of claim 2 wherein said anchoring means comprises means for removeably anchoring said third free end to the foot.
 4. The system of claim 3 wherein said anchoring means affords anchoring to a mid-foot circumscribing member, sleeve or sock having an outer loop surface portion and wherein said anchoring means further comprises a hook portion located on an under surface of said first free end, a hook portion located on an under surface of said second free end, and a hook portion located on an under surface of said third free end for removeably anchoring said first, second, and third free ends to the outer loop surface portion of the at least one mid-foot circumscribing member, sleeve or sock.
 5. The system of claim 1, further comprising a toe strap coplanar to the first strap, second strap, and elastic band, which extends transversely from a portion of at least one of the first strap, second strap, or elastic band, that is proximal to the hallux pocket portion.
 6. A hallux control strap system, comprising: a hallux pocket portion at least a part of which is configured to at least partially receive a hallux of the foot; a first strap member extending from the hallux pocket portion and terminating to a first free end; a second strap member extending from the hallux pocket portion and terminating to a second free end wherein the first and second strap members are configured to cross after extending from said hallux pocket portion and before terminating to the first and second free ends for defining a cruciate strap configuration having a crossing of the first and second strap members, the first and second strap members being alternately configurable to extend at a variety of angle with respect to one another, but are attached to the hallux pocket portion so as to extend at about a 30 degree angle to about a 180 degree angle with respect to each other when both are in an unwrapped and unfolded, single coplanar state; an elastic band extending from the hallux pocket portion and terminating to a third free end; and means for removeably attaching the first, second, and third free ends to at least one mid-foot compression strap configured to encircle at least a mid-foot location of a foot of a patient, sleeve or sock, in alternate configurations.
 7. The system of claim 6, further comprising a toe strap coplanar to the first strap, second strap, and elastic band, which extends transversely from a portion of at least one of the first strap, second strap, or elastic band, that is proximal to the hallux pocket portion.
 8. The system of claim 6 wherein at least one of the alternate configurations comprises the crossing of the cruciate strap configuration overlying a medial side of the foot and the elastic band overlying the crossing of the cruciate strap configuration for adjustably splinting the hallux of the foot in a varus position.
 9. The system of claim 8 wherein at least one other of the alternate configurations comprises the crossing of the cruciate strap configuration overlying a dorsal side of the foot of the patient and the elastic band overlying the crossing of the cruciate strap configuration for adjustably positioning the hallux of the foot in a dorsiflexed position wherein said elastic band provides resistance against which the hallux of the foot of the patient is flexed against to move from the dorsiflexed position toward a plantar plane of the foot for actively exercising the hallux.
 10. The system of claim 9 wherein at least one other of the alternate configurations comprises the crossing of the cruciate strap configuration overlying a plantar side of the foot of the patient and said elastic band overlying said crossing of said cruciate strap configuration for adjustably splinting the hallux of the foot of the patient in a plantarflexed position.
 11. A hallux control strap system, comprising: a mid-foot circumscribing member configured to encircle at least a mid-foot location of a foot of a patient; and a hallux control strap comprising: a cruciate strap configuration comprising a first strap member crossing a second strap member and said first and second strap members having attached co-planar first ends forming a hallux pocket portion from which said first strap member extends in a first direction and terminates to a first free end and from which said second strap member extends in a second direction and terminates to a second free end, wherein the first direction is at angle of about a 30 degree angle to about a 180 degree angle with respect to the second direction; an elastic band having a first end attached to said hallux pocket portion and a second free end; and means for removeably attaching said second free end of said first strap member, said second free end of said second strap member, and said second free end of said elastic band to said mid-foot circumscribing member.
 12. The system of claim 11, further comprising a toe strap coplanar to the first strap, second strap, and elastic band, which extends transversely from a portion of at least one of the first strap, second strap, or elastic band, that is proximal to the hallux pocket portion.
 13. The system of claim 11 wherein said mid-foot circumscribing member is comprised of an elongated body extending between a first end and a second end and comprised of an inner surface and an outer surface wherein said inner surface is formed from a soft non-slip material that provides a soft but tactile interface with the skin of the foot to substantially preclude migration on the foot of said mid-foot circumscribing member and wherein at least a portion of said outer surface is formed from a loop type of material defining an outer loop surface of said mid-foot circumscribing member.
 14. The system of claim 13 wherein said outer surface of said mid-foot circumscribing member comprises calibration indicia correlative to varying levels of compression provided by said mid-foot circumscribing member when circumscribing the mid-foot of the patient, said calibration indicia being located proximate to said first end of said mid-foot circumscribing member and said second end aligning with said indicia at a predetermined level of compression.
 15. The system of claim 14 wherein said second end of said mid-foot circumscribing member comprises an under surface hook portion to removeably attach said second end to said outer loop surface of said mid-foot circumscribing member at a location aligning said second end with said indicia at said predetermined level of compression.
 16. The system of claim 15 wherein said second free end of said first strap member, said second free end of said second strap member, and said second free end of said elastic band each comprise an under surface hook portion for removeably attaching to said outer loop surface of said mid-foot circumscribing member wherein each of said under surface hook portions and said outer loop surface form said means for removeably attaching said second free end of said first strap member, said second free end of said second strap member, and said second free end of said elastic band to said mid-foot circumscribing member.
 17. The system of claim 16 wherein said first strap member comprises an elongated elasticized body having an inner surface portion formed from a soft non-slip material that provides a soft but tactile interface with the skin of the foot.
 18. The system of claim 17 wherein said second strap member comprises an elongated elasticized body having an inner surface portion formed from a soft non-slip material that provides a soft but tactile interface with the skin of the foot.
 19. The system of claim 18 wherein said hallux pocket portion comprises an inner surface portion formed from a soft non-slip material that provides a soft but tactile interface with the skin of the foot.
 20. An osteotomy strap system, said system comprising: a mid-foot circumscribing strap member, sleeve or sock configured to encircle at least a mid-foot location of a foot of a patient; an osteotomy strap comprising: a toe encircling strap member configured to closely and entirely encircle substantially all of a length of at least one toe; an elongated base member substantially perpendicular with and attached to the toe encircling strap member; and means for attaching said elongated base member to varying positions along a plantar surface of said mid-foot circumscribing member to splint at least the one surgical toe of the patient in a splinted, plantarflexed position.
 21. The system of claim 20 wherein said toe encircling member comprises an inner surface portion formed from a soft non-slip material that provides a soft but tactile interface with the skin of at least the one surgical toe.
 22. An osteotomy strap system, said system comprising: a mid-foot circumscribing strap member, sleeve or sock configured to encircle at least a mid-foot location of a foot; an osteotomy strap comprising: a toe encircling strap member configured to closely and entirely encircle substantially all of a length of at least one toe; an elastic band attached to said toe encircling strap member; and means for attaching said elastic band to a dorsal surface of the mid-foot circumscribing member, sleeve or sock to position the at least the one toe of the foot in a dorsiflexed position under resistance of said elastic band against which at least the one toe can apply a force to move from the dorsiflexed position toward a plantar plane of the foot for actively exercising at least the at least one toe.
 23. The system of claim 22 wherein the toe encircling member, sleeve or sock comprises an inner surface portion formed from a soft non-slip material that provides a soft but tactile interface with the skin of at least the one surgical toe.
 24. An osteotomy strap system, said system comprising: a mid-foot circumscribing member configured to encircle at least a mid-foot location of a foot of a patient; at least two alternate osteotomy straps each individually detachably connectable to said mid-foot circumscribing member and to at least one surgical toe of the foot of the patient; and wherein one of at least said two alternate osteotomy straps comprises: a toe encircling member configured to encircle at least one surgical toe of the patient; an elongated base member substantially perpendicular with and attached to said toe encircling member; and means for attaching said elongated base member to a plantar surface of said mid-foot circumscribing member to splint at least the one surgical toe of the patient in a plantarflexed position; and wherein another of at least said two alternate osteotomy straps comprises: a toe encircling member configured to encircle at least one surgical toe of the patient; an elastic band attached to said toe encircling member; and means for attaching said elastic band to a dorsal surface of said mid-foot circumscribing member to position said at least the one surgical toe of the foot of the patient in a dorsiflexed position under resistance of said elastic band against which at least the one surgical toe can apply a force to move from the dorsiflexed position toward a plantar plane of the foot for actively exercising at least the one surgical toe.
 25. The system of claim 1 wherein the substantially parallel or cruciate strap configuration is cruciate and formed in part by the first strap member being stretched tightly and wrapped under the plantar and medial sides, and then over and around an instep
 26. The system of claim 1 wherein the substantially parallel or cruciate strap configuration is cruciate and formed by the first strap member wrapping across a hallux dorsal surface, around a medial side and to a plantar surface of the foot; second strap member wrapping between the hallux and a lesser digit, under a plantar surface, around a medial side and onto the foot dorsal surface; an elastic band wrapping over a central tip of the hallux, and diagonally across the foot's plantar surface from its medial to its lateral side.
 27. The system of claim 1 wherein the substantially parallel or cruciate strap configuration is cruciate and formed by the first strap member wrapping across and around a hallux lateral surface, under a hallux plantar surface and to a medial side of the foot; the second strap member wrapping between the hallux and a lesser digit, over a dorsal proximal portion of a hallux surface, and around to a medial side of the foot; an elastic band stretching and wrapping under a central or medial side tip of the hallux and pulled to the posterior of the foot for attachment across a central axis of the plantar surface of the foot
 28. The system of claim 1 wherein the substantially parallel or cruciate strap configuration is substantially parallel and formed the first strap member wrapping across and around a hallux lateral surface, under a proximal hallux plantar surface and rearwards to the plantar surface of the foot; the second strap member wrapping between the hallux and a lesser digit, over a dorsal proximal hallux surface, and around a dorsal side of the foot and generally parallel to the foot along a medial side foot surface; an elastic band wrapping around a lateral, front and medial side tip of the hallux, and pulled to the posterior of the foot for parallel attachment across a central axis of the medial side surface of the foot.
 29. The system of claim 1 wherein the substantially parallel or cruciate strap configuration is substantially parallel and formed by the first strap member wrapping along a hallux lateral surface between the hallux and a lesser digit, and rearwardly along a plantar side of a foot; the second strap member wrapping over a distal front tip and dorsal surface of the hallux, and around a medial side of the foot to a medial-plantar side foot surface; an elastic band wrapping substantially parallel under a central plantar surface of the hallux, and extending to the posterior of the foot for attachment across a central axis of the plantar surface of the foot.
 30. The system of claim 1 wherein the substantially parallel or cruciate strap configuration is substantially parallel and formed by the first strap member wrapping along a hallux lateral surface between the hallux and a lesser digit, and rearwardly along a plantar side of a foot; the second strap member wrapping over a distal front tip and dorsal surface of the hallux, and around a medial side of the foot to a medial-plantar side foot surface; an elastic band wrapping substantially parallel to and under the central plantar surface of the hallux, and extending to the posterior of the foot for attachment across a central axis of the plantar surface of the foot.
 31. The system of claim 1 wherein the substantially parallel or cruciate strap configuration is substantially parallel and formed by the first strap member wrapping across and around a hallux lateral surface, under a hallux plantar surface and to a medial side of the foot; a first elastic band wrapping between the hallux and a lesser digit, over a dorsal lower hallux surface, and rearward to the top medial side of the dorsal surface of the foot instep; a second elastic band wrapping under around the central or medial side tip of a hallux, and extending to the posterior of the foot for attachment across the medial side surface of the foot with its end at the plantar medial surface, such that the end extends somewhat diagonally downwards.
 32. A method of controlling a hallux and/or providing osteotomy therapy, comprising use of a system of claim
 1. 33. A method of controlling a hallux and/or providing osteotomy therapy, comprising use of a system of claim
 6. 34. A method of controlling a hallux and/or providing osteotomy therapy, comprising use of a system of claim
 11. 35. A method of controlling a hallux and/or providing osteotomy therapy, comprising use of a system of claim
 20. 36. A method of controlling a hallux and/or providing osteotomy therapy, comprising use of a system of claim
 22. 37. A method of controlling a hallux and/or providing osteotomy therapy, comprising use of a system of claim
 24. 